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Ms. Gisselah Makarutsa
Mental Health Counselor in Randolph, Massachusetts
NPI 1568712024

Gisselah Makarutsa is a Mental Health Counselor based in Randolph, MA and is specialized in Mental Health. Gisselah Makarutsa practices in Randolph, MA. The NPI Number for Gisselah Makarutsa is 1568712024 and holds a License No. (Massachusetts).

The current practice location address for Gisselah Makarutsa is 41 Pacella Park Dr, Randolph, MA and can be reached out via phone at 781-440-0400 and via fax at 781-437-1220.

Location: 41 Pacella Park Dr, Randolph, MA, 02368-1755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568712024
Provider Name
Gisselah Makarutsa
Credential
Provider Entity Type
Individual
Gender
Female
Address
41 Pacella Park Dr, Randolph, MA, 02368-1755
Phone Number
781-440-0400
Fax Number
781-437-1220
Provider Enumeration Date
09/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110026265 05 MA
institution
Provider Business Practice Location Address Details
Address
41 Pacella Park Dr
City
Randolph
State
Massachusetts
Zip
02368-1755
Phone Number
781-440-0400
Fax Number
781-437-1220
person
Provider Business Mailing Address Details
Address
41 Pacella Park Dr
City
Randolph
State
Massachusetts
Zip
02368-1755
Phone Number
781-440-0400
Fax Number
781-437-1220
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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